Diabetic Muscle Infarction of the Tibialis Anterior and Extensor Hallucis Longus Muscles Mimicking the Malignant Soft-Tissue Tumor

Mimata, Yoshikuni; Sato, Kotaro; Tokunaga, Karen; Tsukimura, Itsuko; Tada, Hiroshi; Doita, Minoru

doi:10.1155/2015/656307

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Similarly, a study reported diabetes muscle infarction of the extensor hallucis and tibialis anterior muscles. 55 Again, the present results are similar to previous findings, with a significant strength reduction in these muscles as mentioned previously herein and seen in most of the participants (Table 5). However, note that both of these studies had participants with uncontrolled sugar levels.…”

Section: Motor Neuropathysupporting

confidence: 93%

Foot Kinetic and Kinematic Profile in Type 2 Diabetes Mellitus with Peripheral Neuropathy

Hazari

Maiya

Shivashankara

2019

Journal of the American Podiatric Medical Association

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The mean age, height, weight, body mass index, duration of diabetes was 57±14 year, 164±11cm, 61±18kg, 24± 3, 12±7 year respectively. There were significant changes in overall biomechanical profile along with clinical manifestations of diabetes peripheral neuropathy.The regression analysis showed statistical significance for dynamic maximum plantar pressure at forefoot with age, weight, height, duration of diabetes, body mass index, knee & ankle joint angle at toe-off phase of gait cycle,pinprick sensation and ankle reflex (R=.71,R =.55, F (12, 108)=521.9 kPa, p=.002) Conclusions: From the present study, we conclude that people with type 2 diabetes mellitus and peripheral neuropathy have significant changes in their foot kinetics and kinematicsparameters. Therefore, they could be at higher risk of foot ulceration with underlying neuropathy and biomechanically associated problems.

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Section: Motor Neuropathysupporting

confidence: 93%

Foot Kinetic and Kinematic Profile in Type 2 Diabetes Mellitus with Peripheral Neuropathy

Hazari

Maiya

Shivashankara

2019

Journal of the American Podiatric Medical Association

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“…It characteristically presents in patients with a long duration of either type 1 or type 2 diabetes, often accompanied by other microvascular complications, particularly CKD, although the outcomes are not different to those with normal renal function 9. It may rarely be painless and can occur in the distal lower limb 10–12. The differential diagnosis includes inflammatory myopathy; infection; polymyositis; dermatomyositis; deep vein thrombosis; trauma; soft tissue hemorrhage; necrotizing fasciitis; and diabetic lumbarsacral radiculoplexopathy 1,13.…”

Section: Discussionmentioning

confidence: 99%

<p>Diabetic muscle infarction: often misdiagnosed and mismanaged</p>

Verjee

Abdelsamad

Qureshi

et al. 2019

DMSO

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A patient with type 2 diabetes, retinopathy, neuropathy, and nephropathy presented with severe right distal thigh pain, which awoke him from sleep. He was diagnosed with musculoskeletal pain and discharged home. Two days later, the severity of pain increased in his right thigh and, subsequently, he developed pain in the proximal lateral aspect of his left thigh, for which he returned to hospital. He had elevated creatine kinase and myoglobin levels. An ultrasound of the right thigh identified a loss of definition of the normal muscular striations and subcutaneous edema. On MRI, the axial STIR image demonstrated extensive T2 hyperintensity in the right vastus medialis and left vastus lateralis , consistent with the diagnosis of diabetic muscle infarction (DMI). This presentation emphasizes the need for a thorough patient history and physical examination, and the importance of directed imaging for the prompt diagnosis of DMI.

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“…12-Diabetic muscle infarction: One of the commonest causes of skeletal muscle infarction is diabetic muscle infarction (DMI), a rare complication associated with poorly controlled diabetes. Mimata et al (2015) reported an atypical case of DMI localized in the tibialis anterior (TA) and extensor hallucis longus (EHL) muscles of a 64-year-old man with type 2 diabetes mellitus presented with a 6-month history of a palpable mass in his lower left leg. Magnetic resonance imaging (MRI) revealed that the mass exhibited heterogeneous signals on T1-& T2-weighted images and slight heterogeneous enhancement within the muscles on fat suppressed T1-weighted images.…”

Section: Introductionmentioning

confidence: 99%